Elite Toothcare LLC
Dentist, General Practice in Miami, FL. Organization (NPI-2).
NPI number1003787516
StatusActive
Last updated in NPPESSep 16, 2025
Details
- NPI
- 1003787516
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Toothcare LLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2025
- Certification date
- Sep 16, 2025
- Last updated
- Sep 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
13501 Sw 136th St Ste 210Miami, FL 33186-8321
Phone 786-429-1489
Mailing address
13501 Sw 136th St Ste 210Miami, FL 33186-8321
Phone 786-429-1489
Authorized official
Lilian Sanchez
Dentistry
7862393073
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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